ACLS FINAL EXAM 2023-2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
1. A patient experiences cardiac arrest, and the resuscitation team initiates
ventilations using a bag-valve-mask (BVM) resuscitator. The development of
which condition during the provision of care would lead the team to suspect
that improper BVM technique is being used?
Select the correct answer to this question.
Rib fracture
Esophageal injury
Pneumothorax
Hypertension: Pneumothorax
2. 1 A member of the resuscitation team is preparing to administer medica-
tions intravenously to a patient in cardiac arrest. The team member follows
each medication administration with a bolus of fluid. How much would the
team member give?
Select the correct answer to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
30 to 40 mL: When administering medications during a cardiac arrest, all medica-
tions administrated through the IV or intraosseous infusion route should be followed
by a 10- to 20-mL fluid bolus.
, ACLS FINAL EXAM 2023-2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
3. The resuscitation team suspects that hyperkalemia is the cause of cardiac
arrest in a patient brought to the emergency department. Which finding on a
12-lead ECG would confirm this suspicion?
Wide-complex ventricular rhythm and tall, peaked T waves
ST-segment changes, T-wave inversion
Flat T waves, prominent U waves and possibly prolonged QT intervals Narrow-
complex ventricular tachycardia: Wide-complex ventricular rhythm andtall,
peaked T waves
In hyperkalemia the patient's 12-lead ECG rhythm strip will show wide-complex
ventricular rhythm and tall, peaked T waves.
4. A patient with an ischemic stroke arrives at the emergency department at 2
a.m. The patient's symptoms started about 12:30 a.m. After completing the
necessary assessments, the healthcare team diagnoses an ischemic stroke,and
the patient is determined to be a candidate for fibrinolytic therapy. To achieve
the best outcomes, the team should initiate therapy for this patient no later
than by which time?
, ACLS FINAL EXAM 2023-2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Select the correct answer to this question.
3:00 a.m.
5:30 a.m.
6:00 a.m.
8:30 a.m.: 1
3:00 a.m.
5. A resuscitation team is debriefing following a recent event. A patient expe-
rienced cardiac arrest, and advanced cardiac life support was initiated. The
patient required the placement of an advanced airway to maintain airway pa-
tency. Which statement indicates that the team performed high-quality CPR?
Select the correct answer to this question.
"We kept the rate of chest compressions to around 100 per minute but adjust-ed
their depth to 1.5 inches while giving 1 ventilation every 3 seconds."
"We delivered chest compressions at a rate of 80 to 100 per minute to a depthof
at least 2 inches and gave 1 ventilation every 6 seconds."
"We initiated chest compressions at a rate of 100 to 110 per minute to a depthof
2.4 inches and then gave 1 ventilation every 10 seconds."
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
1. A patient experiences cardiac arrest, and the resuscitation team initiates
ventilations using a bag-valve-mask (BVM) resuscitator. The development of
which condition during the provision of care would lead the team to suspect
that improper BVM technique is being used?
Select the correct answer to this question.
Rib fracture
Esophageal injury
Pneumothorax
Hypertension: Pneumothorax
2. 1 A member of the resuscitation team is preparing to administer medica-
tions intravenously to a patient in cardiac arrest. The team member follows
each medication administration with a bolus of fluid. How much would the
team member give?
Select the correct answer to this question.
5 to 10 mL
10 to 20 mL
20 to 30 mL
30 to 40 mL: When administering medications during a cardiac arrest, all medica-
tions administrated through the IV or intraosseous infusion route should be followed
by a 10- to 20-mL fluid bolus.
, ACLS FINAL EXAM 2023-2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
3. The resuscitation team suspects that hyperkalemia is the cause of cardiac
arrest in a patient brought to the emergency department. Which finding on a
12-lead ECG would confirm this suspicion?
Wide-complex ventricular rhythm and tall, peaked T waves
ST-segment changes, T-wave inversion
Flat T waves, prominent U waves and possibly prolonged QT intervals Narrow-
complex ventricular tachycardia: Wide-complex ventricular rhythm andtall,
peaked T waves
In hyperkalemia the patient's 12-lead ECG rhythm strip will show wide-complex
ventricular rhythm and tall, peaked T waves.
4. A patient with an ischemic stroke arrives at the emergency department at 2
a.m. The patient's symptoms started about 12:30 a.m. After completing the
necessary assessments, the healthcare team diagnoses an ischemic stroke,and
the patient is determined to be a candidate for fibrinolytic therapy. To achieve
the best outcomes, the team should initiate therapy for this patient no later
than by which time?
, ACLS FINAL EXAM 2023-2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) |ALREADY GRADED A+
Select the correct answer to this question.
3:00 a.m.
5:30 a.m.
6:00 a.m.
8:30 a.m.: 1
3:00 a.m.
5. A resuscitation team is debriefing following a recent event. A patient expe-
rienced cardiac arrest, and advanced cardiac life support was initiated. The
patient required the placement of an advanced airway to maintain airway pa-
tency. Which statement indicates that the team performed high-quality CPR?
Select the correct answer to this question.
"We kept the rate of chest compressions to around 100 per minute but adjust-ed
their depth to 1.5 inches while giving 1 ventilation every 3 seconds."
"We delivered chest compressions at a rate of 80 to 100 per minute to a depthof
at least 2 inches and gave 1 ventilation every 6 seconds."
"We initiated chest compressions at a rate of 100 to 110 per minute to a depthof
2.4 inches and then gave 1 ventilation every 10 seconds."
